解答つき精神看護ワークシート

The nurse asks a patient, "What does 'people in glass houses shouldn't throw stones' mean?" Which ability is being assessed?

1. AImmediate memory
2. BAbstract thinking
3. CLevel of consciousness
4. DOrientation

What is Russell's sign, seen in some patients with eating disorders?

1. AFine, downy hair growing on the face and back
2. BSwelling of the ankles and feet during the first days of refeeding in hospital
3. CCalluses or scars on the back of the hand from inducing vomiting
4. DYellowing of the skin from eating a lot of carrots

In behaviour therapy, what is negative reinforcement?

1. AAdding a reward after a behaviour so that it happens more often
2. BIgnoring a behaviour so that it slowly disappears over time
3. CPunishing a behaviour with an unpleasant consequence so that it becomes less likely
4. DTaking away something unpleasant after a behaviour, which makes it more likely

What is the key difference between factitious disorder and malingering?

1. AIn factitious disorder, the aim is to be seen as ill; in malingering, the aim is an external reward
2. BThere is no real difference between them, and both terms mean exactly the same thing
3. CIn factitious disorder, the symptoms are not produced on purpose at all
4. DMalingering is a severe mental disorder, while factitious disorder is not classed as a mental disorder at all

What must a patient be told for consent to a new psychotropic medicine to be valid?

1. AThe expected benefits, the main risks and the alternatives, including no treatment
2. BNothing at all, because psychiatric patients cannot give consent
3. COnly the name of the medicine and the time of day it will be given
4. DOnly the benefits, so that the patient is not frightened by the side effects

A patient with psychosis says, "There's a man standing in the corner." The nurse sees no one there. Which response uses presenting reality?

1. A"What does the man in the corner look like?"
2. B"That's just your illness talking, so there's nothing to worry about. Try to think of something else."
3. C"The man will go away if you ignore him."
4. D"I don't see anyone in the corner, but I know it seems real to you."

A nurse is teaching a patient with anxiety how to do progressive muscle relaxation. Which instruction is correct?

1. ATense all your muscles at once and keep them tight for 10 minutes
2. BTense each muscle group in turn for a few seconds, then let go and notice the difference
3. CHold your breath for as long as possible while lying completely still on the floor
4. DDo the exercise only during a panic attack, never at other times

A woman with a severe intellectual disability and limited speech has started hitting her face and refusing food. What should the nurse consider first?

1. AThat she is trying to manipulate the staff
2. BThat the behaviour is part of her disability and needs no assessment
3. CThat she needs an antipsychotic to control her behaviour
4. DA physical cause such as dental pain, an ear infection or constipation